Evidence map›Paper›PMID 39730967›Full record

ArticleAnnals of surgical oncology2025

Association Between Treatment-Related Adverse Event Trajectory and Prognosis in Esophageal Cancer Receiving Neoadjuvant Immunochemotherapy.

Zijie Li, Shujie Huang, Rixin Chen, Zhen Gao, Junhan Wu, Yizhang Chen, Weifeng Zhong, Sichao Wang, Guibin Qiao

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Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zijie Li *Department of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Shujie Huang *Department of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Rixin ChenDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Zhen GaoDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Junhan WuDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Yizhang ChenDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Weifeng ZhongDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Sichao WangDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Guibin QiaoDepartment of Thoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China. guibinqiao@126.com.ORCID http://orcid.org/0000-0001-9200-9317

Funding

Guangzhou Major Clinical Technology Project 2023P-ZD05Guangzhou Science and Technology Plan Projects 202206010103Natural Science Foundation of Guangdong Province 2022A1515012469Natural Science Foundation of Guangdong Province 2023A1515010507
6 · The paper itself

Abstract

backgroundImmunochemotherapy is inevitably accompanied with treatment-related adverse events (TRAEs). However, TRAEs are typically assessed at a single time point, overlooking the complexity of TRAE trajectories over time. This study aimed to characterize TRAE trajectories during multi-cycle neoadjuvant immunochemotherapy (nICT) and identify potential prognostic factors for patients with esophageal squamous cell carcinoma (ESCC).

methodsThis prospective cohort study enrolled locally advanced ESCC patients treated with nICT between July 2020 and August 2022. The study recorded and graded TRAEs according to common terminology criteria for adverse events (CTCAE) v5.0. Latent-class mixed-modeling (LCMM) was used to identify the TRAE trajectories. Prognosis and tumor response of different TRAE trajectories were further analyzed.

resultsThe study finally enrolled 75 eligible patients (mean age, 62.4 years; 77.3% male). The major TRAEs with high incidence were fatigue (90.7%), alopecia (74.7%), pruritus (60.0%), nausea (49.3%), vomiting (41.3%), and pain (33.3%). Two- and three-cluster trajectory models provided the best fit for TRAEs. Most TRAEs showed improvement over time except for the subgroups of fatigue and alopecia, which tended to worsen. Furthermore, the patients with a severe gastrointestinal TRAE trajectory had poorer overall survival than those with a mild gastrointestinal TRAE trajectory (hazard ratio

conclusionsFor patients with locally advanced ESCC, most TRAEs such as pruritus, nausea, vomiting, and pain improved over time, whereas fatigue and alopecia tended to worsen in multi-cycle nICT. A mild gastrointestinal TRAE trajectory was associated with better survival.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmunotherapyNeoadjuvant TherapyAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProspective StudiesSurvival RateEsophageal squamous cell carcinomaLatent class analysisNeoadjuvant immunochemotherapyTreatment related adverse events

Identifiers

PMID39730967

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.